A Dental Billing Specialist works in the Dental Office administration department and undertakes responsibility for managing the billing operations of the dental practice. The job description entails ensuring accuracy, and timely billing of every transaction. Duties often listed on the Dental Billing Specialist Resume are – handling insurance claims process work, maintaining the financial health of the dental office, preparing for follow-up on claims denials, collecting payments, maintaining detailed financial records, resolving billing discrepancies, and staying updated with dental insurance and billing practice standards.
The skills needed to excel in the role include – proficiency in dental billing software and EHR systems, precise record-keeping skills, accuracy in billing, the ability to review insurance policies and decipher codes, multitasking skills, and excellent customer service skills. A high school diploma or GED is a minimum requirement. However, possessing a medical billing or coding qualification will be highly advantageous.
Objective : Dedicated Dental Billing Specialist with two years of experience in managing patient accounts, resolving billing discrepancies, and ensuring accurate claims submission. Proficient in communicating with patients and insurance providers to clarify billing issues and enhance understanding of benefits. Committed to maintaining compliance with HIPAA regulations and improving billing processes.
Verified insurance benefits, calculated patient financial responsibilities including deductibles and co-payments.
Reconciled patient accounts, addressing inquiries via phone, email, and chat to resolve billing questions.
Reviewed claim denials, contacting payers to clarify reasons and facilitate resolutions.
Explained EOBs to patients, ensuring comprehension of billing statements and financial obligations.
Processed patient payments while adhering to HIPAA guidelines and maintaining confidentiality.
Acted as the primary liaison for billing inquiries, ensuring high standards of customer service and follow-up.
Investigated and resolved billing discrepancies, keeping accurate records of adjustments made.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Dental Accounts Specialist Resume
Objective : Skilled Dental Accounts Specialist with over 5 years of expertise in managing patient accounts and optimizing billing processes. Adept at resolving discrepancies, ensuring compliance with regulations, and facilitating effective communication between patients and insurance providers. Passionate about enhancing financial operations and delivering exceptional patient service.
Collaborated with providers to ensure accurate billing and streamline patient flow.
Communicated effectively with insurance plans to resolve billing issues and update the finance team.
Organized resources and demonstrated accountability for achieving performance objectives.
Maintained strong relationships with healthcare professionals and participated in quality improvement initiatives.
Prepared and submitted dental claims daily, ensuring prompt payment processing.
Managed daily deposits and addressed inquiries from patients and insurance companies.
Collected and posted account payments, ensuring thorough follow-up with insurance claims.
Experience
2-5 Years
Level
Junior
Education
AAS
Dental Billing Specialist Resume
Headline : Experienced Dental Billing Specialist with 7 years of expertise in managing complex patient accounts and ensuring accurate claims processing. Skilled in resolving billing discrepancies and fostering clear communication with patients and insurance providers. Dedicated to optimizing billing workflows while maintaining strict adherence to HIPAA regulations and enhancing overall financial operations.
Skills : Attention To Detail, Negotiation Skills, Data Analysis, Record Keeping, Billing Reconciliation, Patient Education
Description :
Managed end-to-end billing processes, ensuring accuracy in patient accounts and timely submission of claims to insurance providers.
Communicated effectively with patients regarding billing inquiries, payment options, and insurance benefits.
Reviewed and corrected billing discrepancies, resulting in a significant reduction in claim denials.
Maintained compliance with HIPAA regulations while managing sensitive patient data.
Utilized billing software to track payments, outstanding balances, and account statuses.
Conducted regular audits of accounts receivable to identify and resolve inconsistencies.
Collaborated with dental staff to ensure accurate coding of procedures and proper documentation.
Experience
5-7 Years
Level
Senior
Education
AAS
Dental Revenue Cycle Specialist Resume
Summary : With a decade of specialized experience in dental revenue cycle management, I excel in optimizing claims processing, enhancing patient account management, and ensuring compliance with industry regulations. My expertise lies in improving billing efficiencies and fostering strong communication with patients and insurance providers, ultimately driving financial success for dental practices.
Skills : Revenue Cycle Management, Coding Knowledge, Dental Terminology, Data Entry Skills, Ehr Proficiency, Problem Solving
Description :
Managed comprehensive dental claims processing, ensuring timely submission and follow-up on pre-authorizations and outstanding claims.
Conducted audits on patient accounts, resolving discrepancies, processing refunds, and establishing payment plans as necessary.
Entered and reconciled patient and insurance payments, maintaining compliance with state insurance regulations.
Participated in departmental meetings and training sessions, reporting directly to the Billing Manager on workflow improvements.
Facilitated electronic and manual billing for multiple dental offices, ensuring accurate documentation for claims submissions.
Processed and sent out Explanation of Benefits (EOBs), documenting billing notes and responding to inquiries from dental offices.
Identified and corrected errors in electronic claim submissions to ensure compliance and minimize denials.
Experience
7-10 Years
Level
Management
Education
AAS-HIM
Dental Billing Specialist Resume
Summary : Bringing over 10 years of expertise in dental billing and claims management, I excel in streamlining billing processes and resolving discrepancies. My strong communication skills enhance patient understanding and foster effective interactions with insurance providers. I am dedicated to ensuring compliance with HIPAA regulations while driving improvements in billing efficiency and accuracy.
Managed patient accounts, ensuring accurate billing and timely claims submission.
Conducted thorough insurance verification and maintained updated patient records.
Resolved billing discrepancies by collaborating with insurance providers and patients.
Processed and followed up on denied claims, improving resolution times.
Developed and maintained compliance with HIPAA regulations in all billing practices.
Provided training and support to staff on billing procedures and best practices.
Created detailed reports on billing performance to identify areas for improvement.
Experience
10+ Years
Level
Executive
Education
AAS
Senior Dental Billing Specialist Resume
Summary : Bringing a wealth of knowledge from a decade in dental billing, I specialize in optimizing claims processing and managing patient accounts effectively. My comprehensive understanding of compliance standards and billing regulations drives operational excellence and enhances communication with patients and insurance providers, ensuring streamlined financial workflows.
Skills : Time Management, Communication Skills, Financial Reporting, Payment Posting
Description :
Reviewed and analyzed dental records to ensure accurate coding and compliance with DRG guidelines.
Collaborated with dentists to clarify documentation, enhancing coding accuracy and billing efficiency.
Managed patient billing inquiries, resolving discrepancies and ensuring timely payments.
Conducted audits on aged accounts, prioritizing those nearing timely filing deadlines.
Addressed billing rejections within 90 days, correcting errors and resubmitting claims efficiently.
Utilized payer websites to verify eligibility, updating patient accounts promptly for accurate billing.
Maintained compliance with HIPAA regulations while handling sensitive patient information.
Experience
7-10 Years
Level
Senior
Education
AAS HIT
Dental Billing Specialist Resume
Objective : Accomplished Dental Billing Specialist with two years of hands-on experience in managing accounts and streamlining the claims process. Expert in addressing billing discrepancies and ensuring timely communication with patients and insurers. Focused on upholding HIPAA compliance while implementing best practices to enhance billing accuracy and efficiency.
Collaborated with office staff to accurately file insurance claims and verify patient insurance benefits.
Educated patients on their insurance benefits, entered data into dental practice software, and generated activity reports.
Processed payments from patients and insurance companies, following up on outstanding claims.
Managed overdue accounts and uploaded completed verification forms for insurance claims.
Reviewed and monitored reports to ensure timely payments from clients and insurers.
Ensured a professional work environment while auditing charges posted in patient ledgers for accuracy.
Conducted eligibility checks and reconciled enrollment with third-party payers for claims submissions.
Experience
0-2 Years
Level
Fresher
Education
AAS
Lead Dental Billing Specialist Resume
Headline : Detail-oriented Dental Billing Specialist with over 5 years of experience in managing patient accounts, processing insurance claims, and ensuring compliance with industry regulations. Proficient in dental billing software and adept at resolving discrepancies to maximize revenue. Strong communication skills and a commitment to providing exceptional service to patients and providers alike.
Managed patient billing and account inquiries, ensuring timely payment processing for services rendered.
Maintained accurate records of accounts receivable and processed payments efficiently.
Updated and verified patient information, providing essential support to the dental team regarding billing and patient care.
Performed office administrative duties, ensuring seamless operations and access to information.
Demonstrated high attention to detail in a fast-paced environment, adapting to both independent and team-oriented tasks.
Executed medical billing and coding for dental procedures, accurately applying ICD-10 codes.
Complied with HIPAA regulations, maintaining confidentiality and thorough medical record logs for all patients.
Experience
5-7 Years
Level
Management
Education
AAS
Dental Billing Specialist Resume
Objective : Experienced Dental Billing Specialist skilled in processing claims, verifying insurance eligibility, and managing patient accounts. Proven track record of reducing claim denials and improving revenue cycle efficiency. Excellent organizational skills and attention to detail, with a focus on delivering high-quality service to patients and dental providers alike.
Accurately billed and collected revenue for various insurance plans, including Commercial, Federal, and State.
Tracked claim status through phone and online portals while composing and following up on claims appeals.
Identified and processed adjustments, overpayments, and outstanding balances, reviewing Explanations of Benefits for accuracy.
Established strong relationships with insurance carriers and representatives, ensuring proper allocation of coinsurance and deductibles.
Managed patient billing inquiries and resolved discrepancies efficiently.
Collaborated with internal departments while maintaining strict confidentiality of patient information.
Analyzed dental records and treatment plans to ensure accurate coding, assigning appropriate ICD-9, ICD-10, and DRG codes.
Experience
2-5 Years
Level
Junior
Education
AAS
Dental Billing Specialist Resume
Summary : Seasoned Dental Billing Specialist with 10 years of comprehensive experience in managing complex patient accounts and streamlining claims processes. Adept at resolving discrepancies and ensuring compliance with all relevant regulations. I excel in fostering effective communication with patients and insurance providers to enhance understanding and drive billing accuracy.
Creating an account is free and takes five seconds.
You'll get access to the PDF version of this resume template.
Choose an option.
Sign up with Google
Sign up with Facebook
Sign up with Linkedin
This helps us make sure you're human and prevents spammers from abusing our services.
By continuing, you agree to our Privacy Policy and Terms.
Unlock the Power of Over 10,000 Resume Samples.
Take your job search to the next level with our extensive collection of 10,000+ resume samples. Find inspiration for your own resume and gain a competitive edge in your job search.
Get Hired Faster with Resume Assistant.
Make your resume shine with our Resume Assistant. You'll receive a real-time score as you edit, helping you to optimize your skills, experience, and achievements for the role you want.
Get Noticed with Resume Templates that Beat the ATS.
Get past the resume screeners with ease using our optimized templates. Our professional designs are tailored to beat the ATS and help you land your dream job.
Build an ATS-friendly Dental Billing Specialist Resume
